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General NPI Number Information
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NPI Number | 1306486634
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Entity Type | Organization
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Legal Business Name | FREDERICKSBURG ENDOSCOPY CENTER, LLC
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1211 CENTRAL PARK BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4912
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Country | US
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Telephone | 540-408-0800
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Fax | 540-408-0810
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Provider Business Mailing Address
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Address Line | 1211 CENTRAL PARK BLVD
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-4912
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Country | US
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Telephone | 540-408-0800
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Fax | 540-408-0810
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YOLANDA M KAY
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Credential |
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Telephone | 540-408-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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